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Also Known As

Gait problem


Stringhalt is a gait problem that may affect one or both hind legs of a horse. This rare form of lameness, which causes the horse to lift its hind legs higher and more rapidly than usual when it is moving, varies from a mild muscle spasm to movements so severe that the horse actually strikes his abdomen with the forward-moving fetlocks.

Sometimes, spastic movement is also seen in the front legs with toe scuffing and a stumbling movement. In severe cases, horses may not be able to stand. Ordinarily, the horse does not appear to be in pain, yet the lack of control of the hind legs makes riding difficult.


  • Uneven gait, especially in hind limbs
  • Upward jerk of hind leg combined with involuntary flexion of the hock as horse moves forward
  • Toe scuffing and stumbling movement of front limbs
  • Inability to stand


So far, no definite cause has been established for stringhalt. Some cases follow trauma to the tendon and most scientists believe possible causes of stringhalt include certain neuromuscular conditions, although no definite determination of specific relationships have been made. In horses with bilateral stringhalt, a central location of nerve damage, either in the spinal cord or brain, is suspected.

Certain pasture and climate conditions have been linked to outbreaks, but they are sporadic. Cold weather seems to increase symptoms and poor pastures that have weeds and are going through drought conditions may also play a role.


Since no definite cause has been established, ways of preventing stringhalt have not been realized. Good horse management with high quality feed and appropriate medical response when legs are affected by trauma may help prevent some cases of stringhalt.


Treatment of stringhalt is usually surgical and involves removing a portion of the lateral digital extensor muscle and tendon to restore a more normal gait. If adhesions have developed at the site, they will need to be freed. Some horses with stringhalt recover spontaneously when removed from pasture.

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EquiMed staff writers team up to provide articles that require periodic updates based on evolving methods of equine healthcare. Compendia articles, core healthcare topics and more are written and updated as a group effort. Our review process includes an important veterinarian review, helping to assure the content is consistent with the latest understanding from a medical professional.